Case: 37-year-old M presenting with obtundation and possible seizure-like activity after a large overdose of sustained-release bupropion (Wellbutrin XL), gabapentin, and other unknown medications. Given the severity of this patient’s overdose, he was intubated for airway protection and for further GI decontamination, including gastric lavage, activated charcoal, and whole bowel irrigation. Overview Given that GI […]

So today, we’re gonna talk about shoulder dislocations. This should resonate with a lot of you residents considering the weather conditions currently, or if you were worried about what would happen if a certain SuperBowl performer were to have fallen: If a shoulder dislocation is suspected, make sure a thorough neurovascular exam is conducted! Are the […]

An uncommon injury caused by three or more rib fractures in two places Injury resulting from blunt trauma such as a motor vehicle accident (75%), falls (15%) or direct percussion to the chest Causes decrease intrathoracic pressure, ineffective ventilation, and pulmonary contusion Pulmonary contusion is causes by small laceration of the alveoli leading to blood […]

It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace without all that bothersome screaming. Ortho is requesting propofol but you are […]

Activated Charcoal: A Quick Summary of a Summary inspired by Dr. Ahra Cho With all the Tox VMRs going on, we often turn to activated charcoal as a method of decontamination, but we don’t often talk about how exactly activated charcoal works and why sometimes it doesn’t work. The following is adapted from StatPearls. Indications Toxic […]